Healthcare Provider Details

I. General information

NPI: 1710839857
Provider Name (Legal Business Name): ZION WELLNESS & PRIMARY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6715 GARVEY RD
ROSEDALE MD
21237-2110
US

IV. Provider business mailing address

6715 GARVEY RD
ROSEDALE MD
21237-2110
US

V. Phone/Fax

Practice location:
  • Phone: 443-591-1743
  • Fax:
Mailing address:
  • Phone: 443-591-1743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE MENSAH
Title or Position: OWNER
Credential:
Phone: 443-591-1743